论文部分内容阅读
目的探讨颈椎椎管哑铃型肿瘤的手术入路和一期显微手术治疗的方法。方法回顾性分析17例段颈椎管哑铃型肿瘤的手术方式和治疗效果,全部病例均采用一期显微手术治疗,对不同部位和不同生长特性的肿瘤采用不同的手术入路,原则上先显微切除椎管内的肿瘤再切除椎旁肿瘤。结果全切16例,次全切除1例。17例随访6个月～6年,患者的症状和神经功能均有不同程度的改善,无加重、复发及死亡病例。结论颈段椎管哑铃型肿瘤应一期显微手术治疗,手术入路的选择是决定能否一期切除肿瘤,减少并发症,提高疗效的关键。
Objective To investigate the surgical approach and microsurgical treatment of spinal canal dumbbell tumor. Methods Retrospective analysis of 17 cases of cervical spinal canal dumbbell tumor surgical approach and treatment effect, all cases were treated with a microsurgical treatment of different parts and different growth characteristics of the tumor using different surgical approach, in principle, the first significant Micro-resection of the tumor in the spinal canal resection of the paravertebral tumor. Results 16 cases of complete removal, subtotal resection in 1 case. Seventeen patients were followed up for 6 months to 6 years. The symptoms and neurological functions of patients were improved to some extent without aggravation, recurrence and death. Conclusion Cervical spinal dumbbell tumor should be a microsurgical treatment. The choice of surgical approach is the key to deciding whether to have a one-stage resection of the tumor, reduce the complication and improve the curative effect.